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Friendly tanning: young adults’ engagement with friends around indoor tanning

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Abstract

Indoor tanning (IT), particularly during early adulthood, increases risk for melanoma and is exceedingly common among youth. Social influence, including social norms, promotes IT but little is known about young adults’ engagement with friends around tanning. We examined IT behaviors and tanning-related communication with friends at three universities. Of 837 participants, 261 (31%) reported ever tanning (90% female, 85% White). Of those, 113 (43%) were former tanners and 148 (57%) current tanners. Current tanners reported more social tanning and discussions with friends about tanning, more frequent outdoor tanning, high propensity to tan, and greater lifetime IT exposure than former tanners. Risks-to-benefits discussion ratios were greater for former tanners. In adjusted analyses, current tanners were more likely to make plans to tan and to talk about tanning benefits with friends. Findings confirm IT is a social experience. Future work should examine social tanning’s role in the promotion and reduction of IT among youth.

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References

  • Ajzen, I. (1991). The theory of planned behavior. Organizational Behavior and Human Decision Processes, 50, 179–211. doi:10.1016/0749-5978(91)90020-T

    Article  Google Scholar 

  • Baker, M. K., Hillhouse, J. J., & Liu, X. (2010). The effect of initial indoor tanning with mother on current tanning patterns. Archives of Dermatology, 146, 1427–1428. doi:10.1001/archdermatol.2010.349

    Article  PubMed  Google Scholar 

  • Banerjee, S. C., Greene, K., Bagdasarov, Z., & Campo, S. (2009). ‘My friends love to tan’: Examining sensation seeking and the mediating role of association with friends who use tanning beds on tanning bed use intentions. Health Education Research, 24, 989–998. doi:10.1093/her/cyp035

    Article  PubMed  Google Scholar 

  • Banerjee, S. C., Hay, J. L., & Greene, K. (2012). College students’ cognitive rationalizations for tanning bed use: an exploratory study. Archives of Dermatology, 148, 761–762. doi:10.1001/archdermatol.2012.398

    Article  PubMed  PubMed Central  Google Scholar 

  • Baxter, R. S., & Bylund, C. L. (2004). Social influence on close relationships. In J. S. Seiter & R. H. Gass (Eds.), Perspectives on persuasion, social influence, and compliance gaining (pp. 317–336). Boston: Allyn and Bacon.

    Google Scholar 

  • Boniol, M., Autier, P., Boyle, P., & Gandini, S. (2012). Cutaneous melanoma attributable to sunbed use: Systematic review and meta-analysis. BMJ, 345, e4757. doi:10.1136/bmj.e4757

    Article  PubMed  PubMed Central  Google Scholar 

  • Borsari, B., & Carey, K. B. (2001). Peer influences on college drinking: A review of the research. Journal of Substance Abuse, 13, 391–424. doi:10.1016/S0899-3289(01)00098-0

    Article  CAS  PubMed  Google Scholar 

  • Cafri, G., Thompson, J. K., Jacobsen, P. B., & Hillhouse, J. (2009). Investigating the role of appearance-based factors in predicting sunbathing and tanning salon use. Journal of Behavioral Medicine, 32, 532–544. doi:10.1007/s10865-009-9224-5

    Article  Google Scholar 

  • Carcioppolo, N., Orrego Dunleavy, V., & Yang, Q. (2016). How do perceived descriptive norms influence indoor tanning intentions? An application of the theory of normative social behavior. Health Communication. doi:10.1080/10410236.2015.1120697

    Google Scholar 

  • Cialdini, R. B., Demaine, L. J., Sagarin, B. J., Barrett, D. W., Rhoads, K., & Winter, P. L. (2006). Managing social norms for persuasive impact. Social Influence, 1, 3–15.

    Article  Google Scholar 

  • Coups, E. J., Geller, A. C., & Pagoto, S. L. (2016). The US Food and Drug Administration’s proposed rule to increase regulation of indoor tanning devices. JAMA Dermatology. doi:10.1001/jamadermatol.2016.0504

    Google Scholar 

  • Daniel, C. L., Hay, J. L., Welles, B. F., & Geller, A. C. (2017). The urgent need to ban youth indoor tanning: Evidence from college undergraduates. Translational Behavioral Medicine. doi:10.1007/s13142-017-0469-1.

    PubMed  Google Scholar 

  • Fitch, K. L. (2003). Cultural persuadables. Communication Theory, 13, 100–123. doi:10.1111/j.1468-2885.2003.tb00284.x

    Article  Google Scholar 

  • Guy, G. P., Jr., Berkowitz, Z., Holman, D. M., & Hartman, A. M. (2015). Recent changes in the prevalence of and factors associated with frequency of indoor tanning among US adults. JAMA Dermatology, 151, 1256–1259. doi:10.1001/jamadermatol.2015.1568

    Article  PubMed  PubMed Central  Google Scholar 

  • Guy, G. P., Jr., Berkowitz, Z., Watson, M., Holman, D. M., & Richardson, L. C. (2013). Indoor tanning among young non-Hispanic white females. JAMA Internal Medicine, 173, 1920–1922. doi:10.1001/jamainternmed.2013.10013

    Article  PubMed  PubMed Central  Google Scholar 

  • Guy, G. P., Jr., Watson, M., Richardson, L. C., & Lushniak, B. D. (2016). Reducing indoor tanning: An opportunity for melanoma prevention. JAMA Dermatology, 152, 257–259. doi:10.1001/jamadermatol.2015.3007

    Article  PubMed  Google Scholar 

  • Hay, J., Shuk, E., Zapolska, J., Ostroff, J., Lischewski, J., Brady, M. S., et al. (2009). Family communication patterns after melanoma diagnosis. Journal of Family Communication, 9, 209–232. doi:10.1080/15267430903182678

    Article  Google Scholar 

  • Heckman, C. J., Coups, E. J., & Manne, S. L. (2008). Prevalence and correlates of indoor tanning among US adults. Journal of the American Academy of Dermatology, 58, 769–780. doi:10.1016/j.jaad.2008.01.020

    Article  PubMed  PubMed Central  Google Scholar 

  • Hillhouse, J. J., Adler, C. M., Drinnon, J., & Turrisi, R. (1997). Application of Azjen’s theory of planned behavior to predict sunbathing, tanning salon use, and sunscreen use intentions and behaviors. Journal of Behavioral Medicine, 20, 365–378. doi:10.1023/A:1025517130513

    Article  CAS  PubMed  Google Scholar 

  • Hillhouse, J. J., Turrisi, R., & Kastner, M. (2000). Modeling tanning salon behavioral tendencies using appearance motivation, self-monitoring and the theory of planned behavior. Health Education Research, 15, 405–414. doi:10.1093/her/15.4.405

    Article  CAS  PubMed  Google Scholar 

  • Hillhouse, J. J., Turrisi, R., & Shields, A. L. (2007). Patterns of indoor tanning use: Implications for clinical interventions. Archives of Dermatology, 143, 1530–1535. doi:10.1001/archderm.143.12.1530

    Article  PubMed  Google Scholar 

  • Hoerster, K. D., Mayer, J. A., Woodruff, S. I., Malcarne, V., Roesch, S. C., & Clapp, E. (2007). The influence of parents and peers on adolescent indoor tanning behavior: Findings from a multi-city sample. Journal of the American Academy of Dermatology, 57, 990–997. doi:10.1016/j.jaad.2007.06.007

    Article  PubMed  PubMed Central  Google Scholar 

  • Holman, D. M., & Watson, M. (2013). Correlates of intentional tanning among adolescents in the United States: A systematic review of the literature. Journal of Adolescent Health, 52, S52–S59. doi:10.1016/j.jadohealth.2012.09.021

    Article  PubMed  PubMed Central  Google Scholar 

  • International Agency for Research on Cancer Working Group on Artificial Ultraviolet Light and Skin Cancer. (2007). The association of use of sunbeds with cutaneous malignant melanoma and other skin cancers: A systematic review. International Journal of Cancer, 120, 1116–1122. doi:10.1002/ijc.22453

    Google Scholar 

  • Jackson, K. M., & Aiken, L. S. (2000). A psychosocial model of sun protection and sunbathing in young women: The impact of health beliefs, attitudes, norms, and self-efficacy for sun protection. Health Psychology, 19, 469–478.

    Article  CAS  PubMed  Google Scholar 

  • Knight, J. M., Kirincich, A. N., Farmer, E. R., & Hood, A. F. (2002). Awareness of the risks of tanning lamps does not influence behavior among college students. Archives of Dermatology, 138, 1311–1315.

    Article  PubMed  Google Scholar 

  • Lazovich, D., Forster, J., Sorensen, G., Emmons, K., Stryker, J., Demierre, M. F., et al. (2004). Characteristics associated with use or intention to use indoor tanning among adolescents. Archives of Pediatric Adolescent Medicine, 158, 918–924. doi:10.1001/archpedi.158.9.918

    Article  Google Scholar 

  • Lazovich, D., Isaksson Vogel, R., Weinstock, M. A., Nelson, H. H., Ahmed, R. L., & Berwick, M. (2016). Association between indoor tanning and melanoma in younger men and women. JAMA Dermatology, 152, 268–275. doi:10.1001/jamadermatol.2015.2938

    Article  PubMed  PubMed Central  Google Scholar 

  • Lazovich, D., Vogel, R. I., Berwick, M., Weinstock, M. A., Anderson, K. E., & Warshaw, E. M. (2010). Indoor tanning and risk of melanoma: A case–control study in a highly exposed population. Cancer Epidemiology, Biomarkers and Prevention, 19, 1557–1568. doi:10.1158/1055-9965.epi-09-1249

    Article  PubMed  PubMed Central  Google Scholar 

  • Marsden, P. V. (1990). Network data and measurement. Annual Review of Sociology, 16, 435–463. doi:10.1146/annurev.so.16.080190.002251

    Article  Google Scholar 

  • National Cancer Institute. (2015). Adolescents and young adults with cancer. Retrieved from http://www.cancer.gov/types/aya

  • Noar, S. M., Myrick, J. G., Morales-Pico, B., & Thomas, N. E. (2014). Development and validation of the Comprehensive Indoor Tanning Expectations Scale. JAMA Dermatology, 150, 512–521. doi:10.1001/jamadermatol.2013.9086

    Article  PubMed  Google Scholar 

  • O’Riordan, D. L., Field, A. E., Geller, A. C., Brooks, D. R., Aweh, G., Colditz, G. A., et al. (2006). Frequent tanning bed use, weight concerns, and other health risk behaviors in adolescent females (United States). Cancer Causes and Control, 17, 679–686. doi:10.1007/s10552-005-0453-9

    Article  PubMed  Google Scholar 

  • Quinn, M., Alamian, A., Hillhouse, J., Scott, C., Turrisi, R., & Baker, K. (2015). Prevalence and correlates of indoor tanning and sunless tanning product use among female teens in the United States. Preventive Medicine Reports, 2, 40–43. doi:10.1016/j.pmedr.2014.12.004

    Article  PubMed  Google Scholar 

  • Real, K., & Rimal, R. N. (2007). Friends talk to friends about drinking: Exploring the role of peer communication in the theory of normative social behavior. Health Communication, 22, 169–180.

    Article  PubMed  Google Scholar 

  • Sanders, R. E., & Fitch, K. L. (2001). The actual practice of compliance seeking. Communication Theory, 11, 263–289.

    Article  Google Scholar 

  • Seidenberg, A. B., Noar, S. M., & Sontag, J. M. (2016). Support for tanning bed control policies among female university students. American Journal of Preventive Medicine, 50, e121–e122. doi:10.1016/j.amepre.2015.12.007

    Article  PubMed  Google Scholar 

  • Starkey, F., Audrey, S., Holliday, J., Moore, L., & Campbell, R. (2009). Identifying influential young people to undertake effective peer-led health promotion: The example of A Stop Smoking In Schools Trial (ASSIST). Health Education Research, 24, 977–988. doi:10.1093/her/cyp045

    Article  PubMed  Google Scholar 

  • Valente, T. W. (2011). Social networks and health communication. In T. L. Thompson, R. Parrott, & J. F. Nussbaum (Eds.), The Routledge handbook of health communication (2nd ed., pp. 519–531). New York: Routledge.

    Google Scholar 

  • Valente, T. W. (2012). Network interventions. Science, 336, 49–53. doi:10.1126/science.1217330

    Article  Google Scholar 

  • Valente, T. W., & Fosados, R. (2006). Diffusion of innovations and network segmentation: The part played by people in promoting health. Sexually Transmitted Diseases, 33, S23–S31. doi:10.1097/01.olq.0000221018.32533.6d

    Article  PubMed  Google Scholar 

  • Valente, T. W., Hoffman, B. R., Ritt-Olson, A., Lichtman, K., & Johnson, C. A. (2003). Effects of a social-network method for group assignment strategies on peer-led tobacco prevention programs in schools. American Journal of Public Health, 93, 1837–1843.

    Article  PubMed  PubMed Central  Google Scholar 

  • Valente, T. W., & Pumpuang, P. (2007). Identifying opinion leaders to promote behavior change. Health Education & Behavior, 34, 881–896. doi:10.1177/1090198106297855

    Article  Google Scholar 

  • Watson, M., Holman, D. M., Fox, K. A., Guy, G. P., Jr., Seidenberg, A. B., Sampson, B. P., et al. (2013). Preventing skin cancer through reduction of indoor tanning: current evidence. American Journal of Preventive Medicine, 44, 682–689. doi:10.1016/j.amepre.2013.02.015

    Article  PubMed  PubMed Central  Google Scholar 

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Acknowledgments

We would like to acknowledge our study participants for their time and valued contributions to this research. Support for this study was obtained from the Memorial Sloan Kettering Cancer Center Support Grant/Core Grant (P30 CA008748). Dr. Rodríguez was supported by a Training Grant (T32 CA009461).

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Correspondence to Vivian M. Rodríguez.

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Vivian M. Rodríguez, Casey L. Daniel, Brooke Foucault Welles, Alan C. Geller and Jennifer L. Hay declare that they have no conflict of interest.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Informed consent was obtained from all individual participants included in the study.

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Rodríguez, V.M., Daniel, C.L., Welles, B.F. et al. Friendly tanning: young adults’ engagement with friends around indoor tanning. J Behav Med 40, 631–640 (2017). https://doi.org/10.1007/s10865-017-9832-4

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